Organization Active NPI

Blue Ridge Volunteer Rescue Squad Inc

  • Ambulance
  • Ararat, VA
National Provider Identifier
1699812495
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
772 Issued in VA
Legal business name
BLUE RIDGE VOLUNTEER RESCUE SQUAD INC
Practice address
1961 Willis Gap Road
Ararat, VA 24053-3468
Phone
(276) 251-1850
NPI assigned
Jan 31, 2007
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila C Marshall
Title
Rescue Squad Billing Representative
Phone
(276) 251-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 772 VA Primary

Addresses

Primary practice location

1961 Willis Gap Road
Ararat, VA 24053-3468

Mailing address

759 The Hollow Road
Ararat, VA 24053-3468
Phone (276) 251-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000756 VA Part B Supplier - Ambulance Service Supplier 7012000466 Practice locations: Ararat, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1699812495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 THE HOLLOW ROAD",
            "city": "ARARAT",
            "state": "VA",
            "postal_code": "240533468",
            "telephone_number": "276-251-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 WILLIS GAP ROAD",
            "city": "ARARAT",
            "state": "VA",
            "postal_code": "240533468",
            "telephone_number": "276-251-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE VOLUNTEER RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "RESCUE SQUAD BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "276-251-1850"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ararat, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.